person
Charley Marie Moore Jackson
Addiction (Substance Use Disorder) Counselor in Blue Ash, Ohio
NPI 1659906287

Charley Marie Moore Jackson is an Addiction (Substance Use Disorder) Counselor based in Blue Ash, OH and is specialized in Addiction (Substance Use Disorder). Charley Marie Moore Jackson practices in Blue Ash, OH. The NPI Number for Charley Marie Moore Jackson is 1659906287 and holds a License No. (Ohio).

The current practice location address for Charley Marie Moore Jackson is 9403 Kenwood Rd, Blue Ash, OH and can be reached out via phone at 513-543-6600 and via fax at 513-745-0037.

Location: 9403 Kenwood Rd, Blue Ash, OH, 45242-6895
person
Provider Profile Details
NPI Number
1659906287
Provider Name
Charley Marie Moore Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
9403 Kenwood Rd, Blue Ash, OH, 45242-6895
Phone Number
513-543-6600
Fax Number
513-745-0037
Provider Enumeration Date
03/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9403 Kenwood Rd
City
State
Zip
45242-6895
Phone Number
513-543-6600
Fax Number
513-745-0037
person
Provider Business Mailing Address Details
Address
9403 Kenwood Rd
City
State
Zip
45242-6895
Phone Number
513-543-6600
Fax Number
513-745-0037
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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